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Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. | PSNet

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February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…

Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. | PSNet

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August 26, 2020 - Study Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Citation Text: Hoff JJ, Zimmerman A, Tupetz A, et al. Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Prehosp Emerg Care. 20…

Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

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November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. | PSNet

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February 07, 2022 - Organizational Policy/Guidelines Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Citation Text: Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

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August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

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February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

A trigger tool to identify adverse events in the intensive care unit. | PSNet

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April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet

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July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet

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October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. | PSNet

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March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…

Decisions about critical events in device-related scenarios as a function of expertise. | PSNet

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January 02, 2017 - Study Decisions about critical events in device-related scenarios as a function of expertise. Citation Text: Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. Copy Citat…

Measuring patient safety in real time: an essential method for effectively improving the safety of care. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care

February 15, 2011 - Commentary Measuring patient safety in real time: an essential method for effectively improving the safety of care. Citation Text: Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. …

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. | PSNet

psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery

July 05, 2013 - Study The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. Citation Text: Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-vo…

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. | PSNet

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July 14, 2021 - Study Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. Citation Text: Whaley C, Bancsi A, Ho JM-W, et al. Prescribers’ perspectives on including reason for use information on prescriptions and medic…

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet

psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel

June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. Citation Text: Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

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August 12, 2020 - Commentary Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Citation Text: Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. | PSNet

psnet.ahrq.gov/issue/lost-translation-silent-reporting-and-electronic-patient-records-nursing-handovers

October 20, 2021 - Study Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Citation Text: Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:1…

Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. | PSNet

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July 17, 2019 - Commentary Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Citation Text: Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.…

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. | PSNet

psnet.ahrq.gov/issue/use-artificial-intelligence-image-analysis-breast-cancer-screening-programmes-systematic

May 13, 2020 - Review Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. Citation Text: Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic r…

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. | PSNet

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October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…

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